Updated 14 December 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector and an assistant inspector.
Service and service type
Ashleigh Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced. The inspection was completed in one day.
What we did before the inspection
We reviewed information we had received since the last inspection. This included checking incidents the provider must notify us about, such as serious injuries and abuse. We sought feedback from any partner agencies involved with people’s care, this included local authority care commissioners who contract with the provider. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. However, we offered the registered manager the opportunity to share information they felt was relevant. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with seven people who used the service and five relatives about their experience of the care provided. Where people were unable to speak with us, we observed the interactions in the communal areas between them and staff.
We spoke with seven members of staff including the registered manager, deputy, care workers, activity co-ordinator and the cook. We also spoke with a visiting healthcare professional for their feedback. We reviewed a range of records. This included parts of six people’s care records and seven medication records. We reviewed complaints, medication audits, training records and staff files in relation to recruitment and supervision; a variety of residential policies and procedures were checked including the providers checks for quality and safety.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We asked for further evidence works had been completed and received this in the timescale suggested. We spoke with two further professionals who regularly visit the service. We used all this information to help form our judgements detailed within this report.